Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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17 results
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 β€’ Tracheobronchial:
Massive Hemoptysis - Differential ... over 24 hours Differential ... : 1) Indications ... Massive #Hemoptysis #Differential ... #pulmonary #criticalcare
Glaucoma - Emergency Department Management
- All patients should get emergency ophthalmologic consultation
- Start with eye drops
Emergency Department Management ... eye drops (see table ... and add systemic medications ... blocker) - Topical meds ... #Table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Failure, Toxins/Medications ... Sophia_Hayes_MD #Shock #Differential ... #Diagnosis #criticalcare ... algorithm #treatment #management
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 β€’ Regular: Sinus Bradycardia, AFib w/ AV
Bradycardia - Differential ... Framework and Management ... : 1) PADS ON!! ... #Bradycardia #Differential ... #cardiology #criticalcare
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
spleen, brain) Indications ... course β€’ Adjust antibiotics ... β€’ Aggressive management ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 β€’ If low preload β†’
Injury (AKI) - Management ... Foley β€’ UTI β†’ Antibiotics ... Foley catheter β€’ Medications ... β†’ Stop meds β€’ ... Injury #treatment #management
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Monitors, ECG, Pads ... 2) Give Meds β€’ ... sedative & pain medication ... bradycardia #diagnosis #differential ... #management #cardiology
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison #table ... #pharmacology #indications
Orthopedic Dressing Materials
1. Opsite - semi-permeable-thin, adhesive transparent polyurethrane film 
 β€’ Indications: Superficial wounds as
antiseptics or antibiotics ... with, topical medication ... use with topical medication ... Dressings #Materials #management ... wound #comparison #table
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... - Review of medication ... limit them as able ... #CriticalCare